Pantoprazole NDC 55111-332

NDC codes

FDA NDC Directory

Product NDC (as listed)55111-332Labeler and product segments. Claims need a package NDC.

Product NDC at billing width55111-0332Add the package segment from the table below.

Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC	11-digit (billing)	Package
55111-332-01	55111033201	100 TABLET, DELAYED RELEASE in 1 BOTTLE (55111-332-01)Marketed from Jan 19, 2011
55111-332-05	55111033205	500 TABLET, DELAYED RELEASE in 1 BOTTLE (55111-332-05)Marketed from Jan 19, 2011
55111-332-10	55111033210	1000 TABLET, DELAYED RELEASE in 1 BOTTLE (55111-332-10)Marketed from Jan 19, 2011
55111-332-30	55111033230	30 TABLET, DELAYED RELEASE in 1 BOTTLE (55111-332-30)Marketed from Jan 19, 2011
55111-332-78	55111033278	10 BLISTER PACK in 1 CARTON (55111-332-78) / 10 TABLET, DELAYED RELEASE in 1 BLISTER PACK (55111-332-79)Marketed from Jan 19, 2011
55111-332-81	55111033281	3 BLISTER PACK in 1 CARTON (55111-332-81) / 10 TABLET, DELAYED RELEASE in 1 BLISTER PACK (55111-332-79)Marketed from Jan 19, 2011
55111-332-90	55111033290	90 TABLET, DELAYED RELEASE in 1 BOTTLE (55111-332-90)Marketed from Jan 19, 2011

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary): Pantoprazole
Generic name (nonproprietary): pantoprazole
Active ingredients: Pantoprazole sodium — 20 mg/1
Dosage form: Tablet, Delayed release
Route: Oral
Labeler: Dr.Reddy's Laboratories Limited
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 077619
Marketing start: Jan 19, 2011
Listing expires: Dec 31, 2027
Other FDA classes: Proton Pump Inhibitors (Mechanism)
Identifiers: Product ID 55111-332_c0575fc6-20c4-12a6-10b7-1af65cac1ee0SPL ID c0575fc6-20c4-12a6-10b7-1af65cac1ee0SPL set ID 564709e8-358f-c185-4ecb-b3849c3fe59cRxCUI 251872, 314200UNII 6871619Q5X
Pharmacologic class: Proton Pump Inhibitor

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N455111033201 followed by a unit qualifier and the quantity

Package 55111-0332-01. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective Aug 30, 2023.

Indications (excerpt from the label)

Pantoprazole sodium delayed-release tablets are indicated for: Pantoprazole sodium is a proton pump inhibitor (PPI) indicated for the following: Short-Term Treatment of Erosive Esophagitis Associated with Gastroesophageal Reflux Disease (GERD) ( 1.1 ) Maintenance of Healing of Erosive Esophagitis ( 1.2 ) Pathological Hypersecretory Conditions Including Zollinger-Ellison (ZE) Syndrome ( 1.3 ) 1.1 Short-Term Treatment of Erosive Esophagitis Associated With Gastroesophageal Reflux Disease (GERD) Pantoprazole sodium delayed-release tablets are indicated in adults and pediatric patients five years of age and older for the short-term treatment (up to 8 weeks) in the healing and symptomatic relief …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 077619

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 077619
Product	Strength	Form · route	Labeler	Product NDC
Pantoprazole	Pantoprazole sodium 20 mg/1	Tablet, Delayed releaseOral	St. Mary's Medical Park Pharmacy	60760-574
Pantoprazole	Pantoprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Preferred Pharmaceuticals Inc.	68788-8505
Pantoprazole	Pantoprazole sodium 20 mg/1	Tablet, Delayed releaseOral	PHOENIX RX LLC	85509-1332
Pantoprazole	Pantoprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Advanced Rx of Tennessee, LLC	80425-0552
Pantoprazole	Pantoprazole sodium 40 mg/1	Tablet, Delayed releaseOral	Dr.Reddy's Laboratories Limited	55111-333
Pantoprazole	Pantoprazole sodium 20 mg/1	Tablet, Delayed releaseOral	Coupler LLC	67046-0789
Pantoprazole	Pantoprazole sodium 40 mg/1	Tablet, Delayed releaseOral	NuCare Pharmaceuticals,Inc.	68071-3995
Pantoprazole	Pantoprazole sodium 40 mg/1	Tablet, Delayed releaseOral	NuCare Pharmaceuticals,Inc.	68071-3524
Pantoprazole	Pantoprazole sodium 20 mg/1	Tablet, Delayed releaseOral	NuCare Pharmaceuticals, Inc.	68071-3776
Pantoprazole	Pantoprazole sodium 20 mg/1	Tablet, Delayed releaseOral	NorthStar RxLLC	72603-177
Pantoprazole	Pantoprazole sodium 40 mg/1	Tablet, Delayed releaseOral	NorthStar RxLLC	72603-178